The purpose of this study is to evaluate intubation duration between rapid sequence intubation technique (RSI) and non-rapid sequence intubation technique (non-RSI) performed by emergency medicine residents in Siriraj hospital.

The overall intubation duration [ Time Frame: Participants will be followed for the overall intubation duration until confirmation the endotracheal position, an expected average of 2 minutes ] [ Designated as safety issue: No ]

The overall intubation duration is recorded on the decision to intubation patient and corresponds to the time of confirmation the endotracheal position by chest auscultation

Secondary Outcome Measures:

the intubation duration [ Time Frame: Participants will be followed for the intubation duration until confirmation the endotracheal position, an expected average of 5 minutes ] [ Designated as safety issue: No ]

The intubation duration (Ti), it is defined from application the laryngoscope into the patient's mouth to the time of confirmation an endotracheal position

Complication [ Time Frame: Participants will be followed in the period of staying in the emergency room and hospital, an expected average of 4 weeks ] [ Designated as safety issue: Yes ]

Complications occur during and after intubation peroid are recorded and monitored until patients are discharged fromt the hospital.

Intubation with RSI technique. RSI technique includes the administration of inductive and neuromuscular blocking agents to facilitate an intubation.

In this study, we have no restriction of medication use. Physicians can chose any of medication as an individual judgement.

Drug: RSI

All medications are administered only one dose before intubation

Anesthetics:

Propofol 2-2.5 mg/kg Thiopental 3-5mg/kg Etomidate 1-2mg/kg

Neuromuscular blocking agents:

Succinylcholine 1-1.5mg/kg Rocuronium 0.9mg/kg

Opioid:

Fentanyl 1-2ug/kg

Other Name: Rapid Sequence Intubation

No Intervention: Non-RSI

Intubation without RSI technique. No any medication use during intubation period.

Detailed Description:

A prospective cohort study was conducted in the non-traumatic emergency department (ED).

Eligibility

Ages Eligible for Study:

18 Years and older (Adult, Senior)

Genders Eligible for Study:

Both

Accepts Healthy Volunteers:

No

Criteria

Inclusion Criteria:

patients required airway control by tracheal intubation

Exclusion Criteria:

cardiac arrest

Contacts and Locations

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Please refer to this study by its ClinicalTrials.gov identifier: NCT01474252